Costly newer drugs no better in breast cancer study

Last Updated: 2012-06-04 10:35:03 -0400 (Reuters Health)

By Bill Berkrot

(Reuters) - A pair of newer drugs proved no better, and by some measures inferior, to the older and cheaper chemotherapy agent paclitaxel in patients with locally advanced or metastatic breast cancer, according to results of a late stage study.

Weekly dosing of paclitaxel appeared to result in significantly longer progression-free survival, or how long it takes for the disease to worsen, than Bristol-Myers Squibb's Ixempra, researchers found. Paclitaxel therapy also led to fewer toxic side effects than Celgene Corp's Abraxane, the 799-patient study found.

"This study demonstrates that we should not simply assume that newer drugs are always better than the standard therapies," Dr. Hope Rugo, director of breast oncology and clinical trials education at the University of California, San Francisco, and the study's lead investigator, said in a statement.

The findings may not immediately impact sales of the newer drugs or clinical practice as paclitaxel is listed as one of many commonly used, generic cancer treatments currently in short supply across the country. Generic drugs typically cost significantly less than brand name medications.

But the results, presented by Rugo on Sunday at the American Society of Clinical Oncology (ASCO) meeting in Chicago, suggest that these breast cancer patients may be better served by treatment with weekly paclitaxel, researchers found.

Median progression free survival was 10.6 months for those who received paclitaxel, compared with 9.2 months for Abraxane and 7.6 months for Ixempra.

The incidence of moderate to severe non-blood-related side effects, including painful sensory neuropathy, were lowest in the paclitaxel group at 16 percent compared with 25 percent for the two newer drugs.

Moderate or severe blood-related toxicities were lowest for Bristol's Ixempra at 12 percent. That compared with 21 percent for paclitaxel and 51 percent for Abraxane.

Abraxane, which costs about $5,000 per course of treatment, is being studied in lung and pancreatic cancers and advanced melanoma. Ixempra costs about $14,000 to $18,000 for a typical course of treatment.